Unit Characteristics
The reports of the 16 NMs regarding reports of missed care on their unit were very concerning. Eighty-eight percent of NMs indicated that care omissions had been reported to them by their staff. Of those NMs who had received reports of care omissions, 66.7% also reported that the occurrence of the omissions was frequent. Asked to respond to questions regarding delegation on their units, 54% of NMs reported that 5 or more RNs delegated to the same NA on a routine shift. The delegation ratios on the off-shifts were reported as being higher.The reports of 62% of NMs supported the alarming
findings from participating NAs who reported more than 10 patients per shift are routinely assigned to 1 NA.